PDF(Pubmed)
Abstract：
BACKGROUND: Oral Health-Related Quality of Life (OHRQoL) is a comprehensive concept covering daily comfort, self-esteem, and satisfaction with oral health, including functional, psychological, and social aspects, as well as pain experiences. Despite abundant research on OHRQoL related to oral diseases and hygiene, there is limited data on how patients perceive changes after implant-prosthetic rehabilitation. This study aimed to evaluate OHRQoL and aesthetic perception using OHIP-14 and VAS scales respectively, before (baseline-TB), during (provisional prostheses-TP), and after (definitive prostheses-TD) implant-prosthetic rehabilitation. It also explored the impact of biological sex, substitution numbers, and aesthetic interventions on OHRQoL and VAS scores, along with changes in OHIP-14 domains.
METHODS: A longitudinal prospective single-center observational cohort study was conducted with patients requiring implant-prosthetic rehabilitation. Quality of life relating to dental implants was assessed through the Italian version of Oral Health Impact Profile-14 (IOHIP-14), which has a summary score from 14 to 70. Patients\' perceived aesthetic was analyzed through a VAS scale from 0 to 100. Generalized Linear Mixed Effect Models, Linear Mixed Effect Models, and Friedman test analyzed patient responses.
RESULTS: 99 patients (35 males, 64 females) aged 61-74, receiving various prosthetic interventions, were enrolled. Both provisional and definitive prosthetic interventions significantly decreased the odds of a worse quality of life compared to baseline, with odds ratios of 0.04 and 0.01 respectively. VAS scores increased significantly after both interventions, with estimated increases of 30.44 and 51.97 points respectively. Patient-level variability was notable, with an Intraclass Correlation Coefficient (ICC) of 0.43. While biological sex, substitution numbers, and aesthetic interventions didn\'t significantly affect VAS scores, OHRQoL domains showed significant changes post-intervention.
CONCLUSIONS: These findings support the effectiveness of implant-prosthetic interventions in improving the quality of life and perceived aesthetics of patients undergoing oral rehabilitation. They have important implications for clinical practice, highlighting the importance of individualized treatment approaches to optimize patient outcomes and satisfaction in oral health care.
METHODS: A longitudinal prospective single-center observational cohort study was conducted with patients requiring implant-prosthetic rehabilitation. Quality of life relating to dental implants was assessed through the Italian version of Oral Health Impact Profile-14 (IOHIP-14), which has a summary score from 14 to 70. Patients\' perceived aesthetic was analyzed through a VAS scale from 0 to 100. Generalized Linear Mixed Effect Models, Linear Mixed Effect Models, and Friedman test analyzed patient responses.
RESULTS: 99 patients (35 males, 64 females) aged 61-74, receiving various prosthetic interventions, were enrolled. Both provisional and definitive prosthetic interventions significantly decreased the odds of a worse quality of life compared to baseline, with odds ratios of 0.04 and 0.01 respectively. VAS scores increased significantly after both interventions, with estimated increases of 30.44 and 51.97 points respectively. Patient-level variability was notable, with an Intraclass Correlation Coefficient (ICC) of 0.43. While biological sex, substitution numbers, and aesthetic interventions didn\'t significantly affect VAS scores, OHRQoL domains showed significant changes post-intervention.
CONCLUSIONS: These findings support the effectiveness of implant-prosthetic interventions in improving the quality of life and perceived aesthetics of patients undergoing oral rehabilitation. They have important implications for clinical practice, highlighting the importance of individualized treatment approaches to optimize patient outcomes and satisfaction in oral health care.
摘要：
背景：与口腔健康相关的生活质量（OHRQoL）是一个涵盖日常舒适度的综合概念，自尊,以及对口腔健康的满意度，包括功能，心理,和社会方面，以及痛苦的经历。尽管有大量的OHRQoL与口腔疾病和卫生相关的研究，关于患者如何感知植入物-假体康复后的变化的数据有限.本研究旨在分别使用OHIP-14和VAS量表评估OHRQoL和美学感知，之前（基线TB），在(临时假体-TP)期间，以及（确定性假体-TD）植入物-假体康复后。它还探讨了生物性别的影响，替换数字,以及对OHRQoL和VAS评分的美学干预，随着OHIP-14域的变化。
方法：对需要植入物-假体康复的患者进行了一项纵向前瞻性单中心观察性队列研究。通过意大利语版本的口腔健康影响概况-14（IOHIP-14）评估了与牙种植体相关的生活质量，总分从14到70。通过从0到100的VAS量表分析患者的感知美学。广义线性混合效应模型，线性混合效应模型，弗里德曼测试分析了患者的反应。
结果：99名患者（35名男性，64名女性)，年龄61-74岁，接受各种假肢干预，已注册。与基线相比，临时和确定的假肢干预均显着降低了生活质量较差的可能性。比值比分别为0.04和0.01。两种干预措施后VAS评分均显着增加，估计分别增加30.44和51.97点。患者水平的变异性是显著的，类内相关系数(ICC)为0.43。虽然生物性别，替换数字,美学干预对VAS评分没有显著影响，OHRQoL域在干预后表现出显著变化。
结论：这些发现支持种植体-假体干预在改善口腔康复患者的生活质量和感知美学方面的有效性。它们对临床实践具有重要意义，强调个性化治疗方法的重要性，以优化患者的结果和满意度在口腔保健。
方法：对需要植入物-假体康复的患者进行了一项纵向前瞻性单中心观察性队列研究。通过意大利语版本的口腔健康影响概况-14（IOHIP-14）评估了与牙种植体相关的生活质量，总分从14到70。通过从0到100的VAS量表分析患者的感知美学。广义线性混合效应模型，线性混合效应模型，弗里德曼测试分析了患者的反应。
结果：99名患者（35名男性，64名女性)，年龄61-74岁，接受各种假肢干预，已注册。与基线相比，临时和确定的假肢干预均显着降低了生活质量较差的可能性。比值比分别为0.04和0.01。两种干预措施后VAS评分均显着增加，估计分别增加30.44和51.97点。患者水平的变异性是显著的，类内相关系数(ICC)为0.43。虽然生物性别，替换数字,美学干预对VAS评分没有显著影响，OHRQoL域在干预后表现出显著变化。
结论：这些发现支持种植体-假体干预在改善口腔康复患者的生活质量和感知美学方面的有效性。它们对临床实践具有重要意义，强调个性化治疗方法的重要性，以优化患者的结果和满意度在口腔保健。
